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Ed. Form, No. 4
TEACHER'S MONTHLY SCHOOL REPORT
For the Month of November 1866.
[[seal]]The National Archives of the United States[[/seal]]
A School under the distinct counsel of one Teacher, 
or a Teacher with one assistant is to be reported as one School,To be forwarded as soon as possible after the 1st of each month.

Number of Day-Schools...1
Number of Night-Schools...0
Location and Name of School...Freedmans' School Near Evergreen, Ala.
When opened...22nd of May 1860
Societies, &e., Patrons...Freedman of the neighborhood
Number of Schools sustained by freedmen...none
Number of Schools sustained in part by freedmen...none
Number of teachers transported by Bureau...none
Number of School buildings owned by freedmen...none
Number of School buildings furnished by Bureau...none
Whole number of teachers......... White .....1....Colored ....0...
Whole number of pupils enrolled......... Male ....54... Female ...50....
Number of pupils enrolled last report...101
Number left school this month...none permanently that I know of 
Number of new scholars this month...3.
Average attendance...30.
Number of pupils paying tuition...0
Number of White pupils...0
Number always present...20
Number always punctual...20
Number over 16 years of age...12
Number in Alphabet...0
Number who spell and read easy lessons...104
Number of advanced readers...0
Number in geography...0
Number in arithmetic...0
Number in higher branches...0
Number in writing...0
Number on needlework...0
Number free before the war...0
Number of Sabbath Schools...0
Number of pupils in Sabbath Schools...0

(To these questions give exact, or approximate answers.)

1. How many of above Schools are graded? 0. How many grades 0.
2. How many Day or Night Schools, within your knowledge, not reported above? 0. Number of pupils (estimated) in such Schools? 0.
3. How many Teachers in the above Day or Night Schools? 0. White? 0. Colored? 0
4. How many Sabbath-Schools, within your knowledge, and not reported above? 0. Number of pupils (estimated) in such Schools? 0.
5. How many Teachers in the above Sabbath-Schools? 0. White? 0. Colored? 0
6. How many Industrial Schools? 0 Whole number of pupils in all? 0. State the kind of work done, 0. 
7. Whole amount of tuition paid by the Freedmen during the month, 0.
8. Whole amount of cost of transportation furnished by the Bureau for the month, 
9. Grand total of expense per month for support of above schools by all parties, 
10. Whole number of High or Normal Schools, 0. How many pupils in all? 0.
11. Remarks
The patrons of my school are very poor, often they are obliged to take their boys & girls a way from school, for a while to procure the necessary articles of apparel to wear to school; which accounts for my small daily average compared with the total enrollment.

S. [[C.?]] Johnson

This Report is incomplete unless each blank is filled by a number, or cypher.